Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • Conversations with Giants in Medicine
    • Video Abstracts
  • Reviews
    • View all reviews ...
    • Clinical innovation and scientific progress in GLP-1 medicine (Nov 2025)
    • Pancreatic Cancer (Jul 2025)
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • Conversations with Giants in Medicine
  • Video Abstracts
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
Prolonged wakefulness induces experience-dependent synaptic plasticity in mouse hypocretin/orexin neurons
Yan Rao, Zhong-Wu Liu, Erzsebet Borok, Rebecca L. Rabenstein, Marya Shanabrough, Min Lu, Marina R. Picciotto, Tamas L. Horvath, Xiao-Bing Gao
Yan Rao, Zhong-Wu Liu, Erzsebet Borok, Rebecca L. Rabenstein, Marya Shanabrough, Min Lu, Marina R. Picciotto, Tamas L. Horvath, Xiao-Bing Gao
View: Text | PDF
Research Article

Prolonged wakefulness induces experience-dependent synaptic plasticity in mouse hypocretin/orexin neurons

  • Text
  • PDF
Abstract

Sleep is a natural process that preserves energy, facilitates development, and restores the nervous system in higher animals. Sleep loss resulting from physiological and pathological conditions exerts tremendous pressure on neuronal circuitry responsible for sleep-wake regulation. It is not yet clear how acute and chronic sleep loss modify neuronal activities and lead to adaptive changes in animals. Here, we show that acute and chronic prolonged wakefulness in mice induced by modafinil treatment produced long-term potentiation (LTP) of glutamatergic synapses on hypocretin/orexin neurons in the lateral hypothalamus, a well-established arousal/wake-promoting center. A similar potentiation of synaptic strength at glutamatergic synapses on hypocretin/orexin neurons was also seen when mice were sleep deprived for 4 hours by gentle handling. Blockade of dopamine D1 receptors attenuated prolonged wakefulness and synaptic plasticity in these neurons, suggesting that modafinil functions through activation of the dopamine system. Also, activation of the cAMP pathway was not able to further induce LTP at glutamatergic synapses in brain slices from mice treated with modafinil. These results indicate that synaptic plasticity due to prolonged wakefulness occurs in circuits responsible for arousal and may contribute to changes in the brain and body of animals experiencing sleep loss.

Authors

Yan Rao, Zhong-Wu Liu, Erzsebet Borok, Rebecca L. Rabenstein, Marya Shanabrough, Min Lu, Marina R. Picciotto, Tamas L. Horvath, Xiao-Bing Gao

×

Figure 2

Experience-dependent synaptic plasticity in mice chronically exposed to prolonged wakefulness.

Options: View larger image (or click on image) Download as PowerPoint
Experience-dependent synaptic plasticity in mice chronically exposed to ...
(A) Measurement of locomotor activity indicates development of behavioral sensitization in mice chronically treated with modafinil. Each point represents averaged beam breaks in a 30-minute session from all mice in each group. (B) Sample traces of mEPSCs recorded in hypocretin/orexin neurons from mice chronically treated with saline or modafinil 1 day after the completion of the 7-day treatment. (C) Pooled data from all recorded neurons in control mice and mice chronically exposed to prolonged wakefulness indicate the potentiated frequency of mEPSCs in modafinil-treated mice. *P < 0.05, Student’s t test. (D) Pooled data from all recorded neurons in control mice and mice chronically exposed to wakefulness indicate the potentiated amplitude of mEPSCs in modafinil-treated mice. *P < 0.05, Student’s t test. (E) Cumulative probability of the amplitude of mEPSCs recorded from mice treated with modafinil (4,163 events) or saline (3,232 events). The rightward shift of cumulative distribution of mEPSC amplitude in the modafinil-treated group was significant (P < 0.001, Kolmogorov-Smirnov test). (F and G) Chronic treatment with modafinil increases the number of asymmetric (putative excitatory) synapses on perikarya containing hypocretin/orexin (Hcrt). (F) Electron micrographs of asymmetric (putative excitatory) synapses on hypocretin/orexin-containing perikarya in saline- (left) or modafinil-treated mice (right). Presynaptic terminals are indicated by the asterisk. Scale bar: 1 μm. (G) Bar graph shows the numbers of asymmetric synapses per 100 μm perikaryal membrane of hypocretin neurons in saline- or modafinil- treated mice. *P < 0.05.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts